AMIE BOUCHER NP-C
NPI 1760905384
Nurse Practitioner in Phoenix, AZ

Q: What is Amie Boucher's NPI number?

The NPI number for Amie Boucher is 1760905384. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Amie Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Amie Boucher enrolled in Medicare?

No. Amie Boucher has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Amie Boucher was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2017Opted out of Medicare · through Jul 1, 2028

1510 E FLOWER ST, PHOENIX, AZ 85014(602) 954-0444 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Amie Boucher Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMIE BOUCHER NP-C (NPI 1760905384) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (AP10405) and active in the NPI registry since July 2017. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760905384

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMIE BOUCHERCredential: NP-C

Location Address1510 E FLOWER STPhoenix, AZ 85014-5698

Mailing Address9103 N 183rd LnWaddell, AZ 85355-4360 · (623) 888-2261

Phone(602) 954-0444

Sole ProprietorNo

Enumeration DateJuly 25, 2017

✔ NPI 1760905384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · AP10405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1510 E FLOWER ST, Phoenix, AZ 85014

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amie Boucher Np-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAI AMY HA M.D.

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